HomeMy Public PortalAbout5504 ROBINHOOD AVE_Electrical__ 76A493-camooe_Io APPLICATION FORELECTRIC PERMIT 1
9II M(; AND SAFETY` DMSION
Depwftaent of C—mly F-uhum �nD-DIN — �f
Cod o!I.w AaQ.1..
JOaINtmll
TT D. 0 !FEIN.AUr^T OF■UILDINO L.bCALITY
NRARDaT
FOR APP_�1_CA ILL IN
Uor .,,�•• [Wtr " OVKNER
HUY[[11 1 T[Y [AOH
AflDRESa
TOTAL O UTLM .10
[LEC. RA[lll, WATER '6[AT[ll, CI
CLOTHRI DITUU _ .DO ELECTRICIAN
■LR& ■PACE 19IAT IM /TAT'T. CDOIF- y
MR DIITE, RARIAII
GR DISPOII , AbDR6ed�
ADTO WASH[l DIIQWA� •IID
LIGHTIRG FUTURES .10' CITY TEL NO,
MOTORS IATrE 6 ��
Na NO �7
HORdEPO�EII
H.F. OYKRENO. DISTRICT l[ADT FOR I AIDT EOE
ya •LK" .25
:50 INarx.,TION BBC.`M
s is 1.00
5 ID 1:50•
1D' Do :.DO
DO 200 6.00
Y 1o0.
DIG" tl—
HO.LAMPS
Binvlci o-Dodv Loo
DERvICE ovxpt 60ov 5.00
WIRING PERMIT f.00
FLXTU?tS PERMIT 1.00
aLIrFLE ENA"PERMIT .DO
TOTAL APPBOYAIB
I HEIIEBT ACKROWLEDAIE T I HAVE READ THIS I M
DATE INeKMIt S SIGMATo
K" SPAT[ THAT THE ADM IS CORRECT AIfD AGRU TO COMPLY CONDUIT
■rrH ALL COUKTT ORDIRAWCtS A" STATE LAWS REGULATING
LrUCTMICAL IF S. WIRING s
1 THAT 1 P1:OPERLY RE4tkTMM AND/OR FIXTURMS
LC/I1CLE= Al UIRI ET U AMGHLdd COUNTY ARD STA'�Y OF
CA1IFFOBIIIA OR THAT I AX PAO THE OF T1L[ ABCtf� PCrW]E t
Del RD
S10HHAi U RI< R tM L ITY CO. NOTIFIED
OF rfRY I I-i EE FINAL I
"O40HN AL.
. Amomt, A�(�j,I UR C.� IT
i .
�Y R� � y0 C,UH r=VUUH4 iL.rocraIO:AL$NG1NmR
3:2,0
I L
7eAee3-c9e0e 9-64 APPLICATION FOkZ
R EL CTRICAL RMIT
COUNTY QF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRf"
JOHN A. LAMBIE, COUNTY ENGINKER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
N CROSS SAT.
RECIEPT. 4_1 TOTAL No EACH
OUTLETS FIRST 20 S.20 f C OWNER
LIGHT H MAIL
SWITCH. S �� OVER 20 0�1-F .10 ADD L ADDFtSfi
LIGHTING I T�TAL I F1Ker 20 .20 QTM No.
FIXTURES Jf �.//X _ ADD'L OVFR 20 10 ELECTRICIAN (
MANORS �. CLO.DRYas VYTR.HT RS. 1.00 e ADDRESS
GAR&DIST. STA.COOK:
F TY Ta No.
DISHMARi. • AUTO.-VNASH.[TACT Frrms. STA.ATP.(%H.T.MiAX.) ,60 r LICFSISE NO.
MOTOMI OVEN NOT ovot Hr. DIST NO. GRO Z NE P SSED Y
O 1 1.00
1 a 1.eo INSPE{TION ORD
a e 2.00
O
6 is 2-50 V
16 80 3.001 1 , ad
so 100 0.00 •� �r-- � F
B16NB, NO.TRANS.
M0.LAMP; - ,y
8123WIC80.600V-NoT ovam 200A 1.00
SILRVICK O-e00V-OYot 200 A. 2.00
SERVICE OVER aOOV 0.00
MISC.
PERMIT ISSUING F= i.00 Q
SUFTLILMENTABY PERMIT IMU1NG F" 1.00
TOTAL FEE
t
1 1- R AC"OWL MQS THAT 1 HAVE MILAD THIS APT'UCATIOH ALf DATE
INWnp=rQptlf 91
L
IE THAT TH[ AAOVs IS COItRKCT AND A(IMM TO COMPLY CONDUIT
COUNTY ORDINANCIS AHD STAT= LAWS RSQULATINOL WIRIN4 WIRINGSY .CERTIFY THAT I AY PROPERLY R[GIST[R[D AND/OR FI%TURiS
AS REQUIRED RY LOS ANGELES COUNTY AMD /TAT[ OF
IA OR THAT I AM THE L[GA NER OF, AND INTEND TO
, TH11 ASOV D[SCRIE[D R[ E TIAL P .VRTY. POW"
RE ` UTILITY NOTIFIFD
OF PK11111141, F 1 NAL Q
AL ATION JOS H L ROOHAN
O CASH SUPERVISING ELECTRICAL ENGINEER
CIC �
LHI,0 5 1 7 7 SEP 1 2 D 1 0.- 0
�eAeea-caeoe reo
APPLICATION FOR ELECT CAL P MIT
COUNTY OF LOS ANGELES
DISPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS iGr
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST r
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH F[[ I .�
>t S OWNER
RECEIPT. MAIL
�i
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL.NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 D APPLI
gANT
FIXTURES } OVER 20 .10 ADDRESS
I RANGE DRYER WTR. HTR.
CITY TEL.N0.
STA. COOK_DISP. _F.A.U. CONTRACTOR
SPACE HTR. AIR CONS.
ADDRESS
CLOTHES WASH. DISHWASH. CITY
LICENSE NO. CLASS.
FAN_OTHER 1.00
MOTORS,TRANSFORMERS RATING I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KV A. AND STATE THAT THE AGOVE 19 CORRECT AND AGREE TO COMPLY
SIZE Q TYPE OVER TO WITH ALLCOUNTY ORDINANCE■ AND STAT[ LAWS REGULATING
[LECTRI CAL WIRING.
O 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENe[D AS R[OUIR[D BY LOS ANGELES COUNTY AND ■TATEOF
1 — 10 3.00 CALIFORNIA OR THAT E L AL AND INTEND TO
R[eIDE IN, THE AS D[ [D R[ D IAL OP O
10 — 50 8.00 U
SIGNATURE
80 — 100 10.00 OF PERMITTEE
100 — 500 15.00 DISTR_CT NO. OR
TUBE, OAR SIGN AND ONE CIRCUIT 9.00 `-� • _ Z
MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES: —
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DAT[ ' M[r[CTC" ■IRIATUR[
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (80% PERMIT FEE) POWER AUTHORIZED
If
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 1 FINAL
TOTAL FEEJOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION rK. M.D. CASH PERMIT VALIDATION cK M.O. CASH
6 5 G 99 AM27 2 D 2.80
GEE BACK OF APPLICATION FOR COMPLETE FE[ SCHEDULE
J
� WORKERS'CO+AREMWON DECI_AFIATION efiVBI APPLICATION FOR ELECTRICAL PERMIT.
Cr
l"F,ere;r�"afflrm tet I have a certtfloate of consent to eetf iro- ,
wa cer&kaato of.WorkerW Gomper>eatiop Insurance, or a oerttW COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereot.($Ao 3800,Lab._a)
F'N l°y N0. r orf ,1 FOR APPUCA MT To TULL IN, Joe
❑ ADDRESS L
CertNled cdpy li hen9by kboo
hrmletiQci New Rasldarttlel Uldge_✓!Pods H. NO F1 E
E. -Ceitt W oopy is fled wtth the county buldlnp hapeotton 1 d 2-1`era ,S4 Ft
department fAuru-f tunny %Ft
• cRoss s#.
DataRQaldentW SwlmmkV Poofa r 0wNE1 OR--
�CERTMATE'OF LXEM"OWFX1Ofvi WOrXERS',. Outlets Roo Wit 3w. ~ 5:; MAL
•GOMPENS"N INSURANCE,. ADDRE98
(This*ect}gn need hot b}cornpieted If.the work h,rolv.d Py u,:. Total lditiouel
20 C� Tel No.
perm,t,la.tgr,o�e.hundred dollar!($100)- s-) NdT,� AddtoerMy that-I n the p@riorrrleIM
I•
nar et the,wgrk_for.whictl thb'pbrmtt
fe tesued, 10"1 riot,eFpk y any Person 0 arty manner ao.on to
becornA&A*ot tp.the workarb'Cm�on Laym. Ltphtlnp Ftxtutee FIret 20: AD,DRI SS
Total NO: CFPY T&No.
Date t F"d Apptfsnceb Not Ovbr 1 HP PEFMT
NOTICFz TO APPL1G4f�F:',ft,' after. fhAking'tNn GerifHce of APPL"-lYt
,EmftlpOon,you atva j)db�&A)jeot to Una Workefs'Compensation _ " Range— Heater—'q.W. =
p7mons o) the Labor.Qo;k�,you mw3t forthvykf]comply with euoh +' Oveo Dryer —_ W.M AbDRESS'.
vvAalone-or thfa pWnft shell be deprned revoked Top FgLI W 14 —
UCENS1_D,PDWFPAMRS DECLARATION Hood y Lan Other CITY TeL'No
I hereby,affJ n * I'EkM.licensed.under provtpiorre;of Chapter 8
(_mXr rx� with Spcdon�OOQ Qi bMsion'3 �the BuA)neee and - Room Ah Coad, -4 -- tREG. OR _ Chea
Pro(eesions Cbde,and m)t Tomes b in hill foroe and effect. Power Appsratus.& Lsrge"Iiancen. DV T dCT No. BY
Stze&•Type HP,KW,K�or K-\AH
Licanbe Nu -q6z l/. Lia.Cteae Up to 1 UPJ. - RNAL
Over 1 to 10 ktt �� g b
Date
Over 10 to 6Q trwl. +
I am exempt Under Sec. �� QyQr 6o to 100 inc.
BdRC.for Unfe reesdn Over 100 0.
Cn`'
ServVicee.Swbdi MGC a.Panel boards , 9 4 4.2,A'
i5afe: 0- 200 Amp.Under 800 V
s+a�etare 20-1 - 1000 Arnp.Under eoo v #,° 6 -6 ° 2'
Okr 1bgo AJm br over eoo v '
EmTptbn for Reg.Ma)nt Elect .. J °2 5 5.0.
SINdLE FAMILY Temp PbW k5 .S Appurtsrranoee
0 0 0 2 0:�
HOME OVVNER�UILDER DECLARATION S�with Or*Branch C-ImUft
1 hereby affirm that I am exempt from the Contre°tore Wow-coo Law 0 4,�.�=8 8
for tie fdlowlnp reason.(Sadkn 7031_6,'Ltnfnew and Prdesabne Addt)iortal 3ipri Branch C!fcutln _
{Code):
LJ ' I,as owner of the property,will do the work and ft etruoh� A Conduits Gonduoiors
fe not,Intended or offered for sale (SegHon 704-4, Busfnesd (See Complete Fee Sdvedirie)
Pr.f Coda).
CONSTRUCTION LENDING AGENCY
'I hereby afArm that tti� la a.�pgthxrt40n lendlnp agency for the
periQrri�at the work for whioh thle parmtt Is blued(Seo.3081, PJ=RMiT FEE
Cm G.)
PLAN GHEGIdNG FEE _
L uxwb Name
PERMCf 43,SUINC�
Lenders Address
I oertffy (hat I have read b-da Applk:atbn drd'state that the above T� . ._
hifbrn4at n b,c�orrect I agree to comply with all County crdhancea
and State Tawe regukdrip Elec� wlrinp, and hereby aur&W A
5
th
d thls County e above-mentioned _
J` SEE RLVERSE FOR EXPLANATORY 4-ANO LAdE
red Dete
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